Chapter 14: Preparing a Family for Childbirth and Parenting

A nursing instructor is teaching about the importance of childbirth classes for pregnant women. Which of the following statements made by a student indicates a need for further instruction? "Childbirth classes give information only on how to prepare for childbirth." "Childbirth classes give information on how to prepare for childbirth and on how to parent." "Childbirth classes are informative for second-time mothers." "Childbirth classes are also available for siblings and grandparents."

"Childbirth classes give information only on how to prepare for childbirth."

A nurse is conducting a class about the importance of childbirth education classes for a group of women who are planning to become pregnant. Included in the class discussion is information about the importance of childbirth classes to help prevent complications. The nurse determines that additional teaching is needed based on which statement by the group? "Prenatal classes are for all pregnant women." "Prenatal classes can help to prevent complications." "Prenatal classes are best for first-time mothers." "Prenatal classes supply information on how to parent."

"Prenatal classes are best for first-time mothers."

A nurse is instructing a pregnant client on the benefits of squatting to stretch the perineal muscles. How many minutes a day should the client perform squatting? 15 10 5 20

15

A nurse is reading a journal article about childbirth and the role of doulas in childbirth. The nurse demonstrates understanding of the article when the nurse identifies which activity as a function of a doula? Caring for the mother's emotional needs Providing health promotion and illness prevention Educating the woman about breath awareness and relaxation Teaching partners how to do massage techniques

Caring for the mothers emotional needs

A nursing student correctly identifies the childbirth preparation method that focuses on the premise that fear leads to tension, which leads to pain, is known as which of the following? psychosexual method Dick-Read method Lamaze method Bradley method

Dick-Read method

x A nursing student correctly identifies the childbirth preparation method that focuses on the premise that fear leads to tension, which leads to pain, is known as which of the following? psychosexual method Dick-Read method Lamaze method Bradley method

Dick-Read method

What type of common nonpharmacologic methods of pain relief can the nurse offer the client in labor? (Select all that apply.) Epidural anesthesia Guided imagery Effleurage Hydrotherapy Consciously controlled breathing

Guided imagery Effleurage Hydrotherapy Consciously controlled breathing

A pregnant client and her spouse come to the clinic to discuss options available for the labor and birth of their child. What should the nurse encourage clients to do in preparation for the birth of their child? Inform the couple that they will have to attend Lamaze classes for the spouse to be present in the birthing room. Have the couple attend classes on options for birth. Have the couple write out a birth plan to better meet their needs during labor and delivery. Tell the couple they will have to adhere to the hospital's policies on birthing.

Have the couple write out a birth plan to better meet their needs during labor and delivery.

The maternal health nurse encourages the pregnant client to seek care at mother-friendly hospitals. Which characteristic(s) describe the mother-friendly hospital? Select all that apply. Increased rates of continuous fetal monitoring Increased rates of vaginal births after cesarean section (VBAC) Low rates of cesarean births Low rates of episiotomies Low rates of continuous intravenous lines

Increased rates of vaginal births after cesarean section (VBAC) Low rates of cesarean births Low rates of episiotomies Low rates of continuous intravenous lines

A nurse is conducting an informal teaching session for a group of pregnant women about childbirth education classes. Which information would the nurse most likely include as an outcome associated of these types of classes? Select all that apply. Increased satisfaction Reduction in amount of reported pain Increased feelings of depression Increased feelings of control Reduction in complications

Increased satisfaction Reduction in amount of reported pain Increased feelings of control

A nurse suggests to a client planning to start a family that she and her partner should attend childbirth education classes. Which of the following are taught in childbirth classes? Select all that apply. Crèche facilities Nutritional needs in pregnancy Stress management Healthy relationships Day nursery facilities

Nutritional needs in pregnancy Stress management Healthy relationships

The maternal health nurse is preparing to teach a prenatal birthing class to pregnant women and their partners. On which principle(s) of managing pain in childbirth will the nurse base the teaching? Select all that apply. The cause of labor pain Breathing exercises to reduce pain Techniques to allow the uterus to rise freely with contractions Techniques to allow the uterus to descend within the abdomen with contractions Techniques to alter the perception of pain

The cause of labor pain Breathing exercises to reduce pain Techniques to allow the uterus to rise freely with contractions Techniques to alter the perception of pain

The maternal health nurse teaches a birthing class on the gating control mechanisms to reduce labor pain. Place the steps in the correct order in which pain flows through the pathway. Use all options.

The endings of small peripheral nerve fibers detect a stimulus. Small nerve fibers transmit the sensation of pain to cells in the dorsal horn of the spinal cord. Impulses pass through the substantia gelatinosa. A synapse occurs in a motor nerve that initiates a response at the peripheral site. The impulse continues in the spinal cord to reach the hypothalamus and cortex of the brain. The impulse is interpreted and perceived as pain.

The maternal health nurse cares for several pregnant women. Which woman does the nurse identify as using the Bradley method? The laboring woman uses conscious relaxation during a contraction. The pregnant woman attends a childbirth and breastfeeding education class. The laboring woman's partner assists the woman in breathing exercises. The pregnant woman decides she does not want her labor medically induced.

The laboring woman's partner assists the woman in breathing exercises.

What birthing options will act with gravity and speed up the second stage of labor? Side-lying position Knee-chest position Supine position in the hospital bed Birthing chairs

birthing chairs

A young woman comes to the clinic and informs the nurse that she and her husband are thinking about having a baby. She tells the nurse that she has read about the importance of increasing folic acid before conceiving. Which foods should the nurse tell the patient to consume to increase her level of folic acid? (Select all that apply.) spinach collard greens kale carrots turnip greens

collard greens kale turnip greens spinach

A nursing instructor is teaching about nonpharmacological techniques used for pain relief in labor. What are some techniques that the nurse would include in teaching? (Select all that apply.) conscious relaxation consciously controlled breathing effleurage focusing controlled screaming between contractions imagery

conscious relaxation consciously controlled breathing effleurage focusing imagery

A pregnant client informs the nurse that she is considering a "water birth" for the labor and delivery of her child. What does the nurse anticipate as potential complications for this type of birth? (Select all that apply.) Contamination of the bath water with feces as the mother pushes during labor Prolonged second stage of labor Uterine infection Premature rupture of membranes

contamination of the bater water with feces as the mother pushes during labor uterine infection

The maternal health nurse is caring for a pregnant woman who expresses a desire to have a water birth. When discussing this option with the client, which disadvantage will the nurse identify? Inability to move freely Decreased relief of pain Contamination of the water Absence of health care provider

contamination of the water

After teaching a group of students about Grantley Dick-Read and his view of childbirth, which of the following if identified by the students as an activity advocated by Dick-Read indicates that the teaching was successful? Controlled breathing Physical exercises Abdominal stroking Pressure point application

controlled breathing

A nursing student learning about childbirth preparation in a maternity course correctly identifies which of the following to be a major determinant of the plans women make for childbirth? religion culture social profession

culture

The nurse is coaching the mother during labor and tells her to breathe slowly from the chest at a rate of 6 to 12 breaths per minute. For what type of contractions would this method of breathing be best? As the woman is pushing when fully dilated For prevention of pushing before full dilation Cervical dilation between 4 and 6 cm Early contractions

early contractions

A pregnant woman and her partner are reviewing information about a local hospital as a possible birth setting. The couple determine that the hospital is a mother-friendly facility based on which information? Encourages use of constant fetal monitoring Demonstrates high rates for episiotomies Promotes the use of repeat cesarean births over VBACs Encourages a woman to assume the positions of her choice during labor and birth

encourages a woman to assume the positions of her choice during labor and birth

A client in labor stares at a silver locket that her partner holds in front of her during a contraction. What type of distraction technique is the client using? Focusing Guided imagery Effleurage Conscious relaxation

focusing

A woman has informed the nurse that she plans to have a freebirth. Which statement indicates that the woman understands what freebirth entails? "I plan on giving birth at home without anyone around except my husband and my children." "I will be unlimited in the positions I am able to assume while in labor at the birthing center." "I will not have to wear fetal monitors while in labor at the hospital." "I will give birth at home under the care of a lay midwife."

i plan on giving birth at home without anyone around except my husband and children

A nurse observes a woman in labor and her spouse as they practice breathing exercises to manage the client's pain. Before each contraction, she takes a deep, cleansing breath and then breathes at a controlled pace. During each contraction, she gradually shifts from slow, deep breaths to shallow, rapid ones and then back to slow, deep ones. Her spouse coaches her and performs effleurage on her abdomen. The nurse recognizes that this couple is using which method of pain management? Lamaze Dick-Read Psychosexual Bradley

lamaze

The nurse is explaining childbirth education that follows the philosophy of the Lamaze Institute. Which information would the nurse include as an objective for the father? Learning basic comfort measures that help the woman in labor Learning to coach the woman through pregnancy, labor and birth Helping best as birth guardians or loving partners, not as coaches Practicing in diapering, swaddling, dressing, and feeding infants

learning basic comfort measures that help the woman in labor

A nurse is instructing a pregnant client on putting together a childbirth plan. Which of the following recommendations should the nurse give her? Make the birth plan in a group setting, if possible Focus on a limited goal, such as not having an epidural Make decisions about the birth plan about 1 week before the expected day of birth Avoid including the desired birth attendant in the plan

make the birth plan in a group setting, if possible

A client expresses a concern to the nurse about maintaining sexual responsiveness and preventing incontinence after giving birth. Which of the following exercises should the nurse most strongly recommend for these purposes? Pelvic floor contractions Squatting Tailor sitting Prenatal yoga

pelvic floor contractions

A client is complaining of lower backache during her pregnancy. Which of the following exercises would best help her alleviate this pain? Pelvic rocking Pelvic floor contractions Tailor sitting Squatting

pelvic rocking

A client in the third trimester comes to the clinic for a follow up visit complaining of a backache. Which activity would the nurse include when teaching the client how to relieve her backache? Using a soft mattress Taking hot water baths Using warm tub baths Performing pelvic rocking exercises

performing pelvic rocking exercises

A nurse recommends to a couple, who are soon to be parents that they attend early prenatal classes. Which of the following topics would be covered in an early prenatal class? Anatomy and physiology of childbirth and choices Physical and emotional changes of pregnancy Supply list and information on nutrition to prevent anemia Desire for and confidence in vaginal birth and risks of cesarean

physical and emotional changes of pregnancy

A young patient tells the nurse that she wants to get pregnant and it would be her first pregnancy. In which type of classes should the nurse instruct this patient to enroll? prenatal yoga classes preconception classes childbirth education classes parenting classes

preconception classes

The maternal health nurse is planning childbirth education for a group of pregnant clients using the Dick-Read method of childbirth. On which framework will the nurse base the teaching? Interventions that are not medically necessary should be avoided. Perform muscle toning exercises during pregnancy. Prevent fear from occurring in labor. Reduce pain in labor with abdominal breathing.

prevent fear from occurring in labor

A nurse is caring for a client in the first trimester of her second pregnancy. Which of the following education classes would be most appropriate for the nurse to suggest? Multiple births Fathers' support skills Refresher course Breastfeeding preparation

refresher course

The maternal health nurse is caring for a woman in labor who is using a photo of a peaceful beach scene to focus during labor. Which action by the novice nurse will require intervention by the nurse preceptor? Moving the image to a different place in the room at the woman's request Encouraging the woman to focus on the image before a contraction Stepping in the line of vision of the image during a contraction Practicing silence during the woman's contractions

stepping in the line of vision of the image during a contraction

The maternal health nurse is caring for a pregnant woman with a body mass index (BMI) of 31. Which childbirth technique will the nurse avoid when teaching the client? Abdominal strengthening exercises Tailor sitting Controlled breathing techniques Perineal stretching methods

tailor sitting

A birth in which the lights are kept low, noise is kept to a minimum, and the newborn is placed into a warm bath immediately following delivery is called The Leboyer method The Dick-Read method Water birth Hydrotherapy

the Leboyer method

A couple is writing out the birth plan for their labor and delivery. They desire an atmosphere with a dark, warm room and soft music playing. They opt for delayed cord clamping and an immediate warm bath after the infant is born. What type of birth does the nurse understand the parents are requesting? The Leboyer method A freebirth The Bradley method The Lamaze method

the Leboyer method

A woman expresses to you a desire to attempt to birth without pain medications. She likes the idea of a labor coach, but she is apprehensive about having anyone other than her husband and the doctor in the room at the time of delivery. What method of childbirth education would best suit this woman? The Bradley method The Lamaze method The Dick-Read method The psychosexual method

the bradley method

A pregnant client informs the nurse that she is used to exercising daily on the treadmill and usually feels exhausted when finished. What should the nurse advise the client about this form of exercise? The client should be walking outdoors rather than inside on the treadmill. The client should never exercise to the point of exhaustion during pregnancy. The client should alternate exercise methods with weight training. The client should avoid exercise during her pregnancy to avoid complications.

the client should never exercise to the point of exhaustion during pregnancy

What does the nurse understand is the benefit of educating the pregnant mother about performing Kegel exercises during her pregnancy? The exercises can help reduce pain and promote perineal healing in the postpartum period. The exercises will help shorten the first stage of labor. The exercises will relieve the backache associated with the laboring process. The exercises can reduce the discomfort felt from the uterine contractions.

the exercises can help reduce pain and promote perineal healing in the postpartum period

The maternal health nurse is caring for a pregnant client who is considering having a doula present at the birth. Which advantage does the nurse express to the client regarding a doula-assisted birth? The rate of medical-assisted delivery is lower. The overall length of stay is lower. The rate of maternal infection is lower. The overall cost of delivery is lower.

the rate of medical-assisted delivery is lower

A pregnant patient informs the nurse, "I am not going to do those leg exercises anymore. Every time I do them, I get terrible leg cramps." How can the nurse educate the patient to continue her exercise program and alleviate leg cramps? "When you are doing your leg exercises, point the toes to prevent leg cramps." "If you are having leg cramps, it is likely you are deficient in potassium and should take a supplement." "When you are doing your leg exercises, you can prevent leg cramps by extending the heel and never pointing the toes." "Stop all leg exercises. Leg cramps could be a sign of a blood clot in your legs."

when you are doing your leg exercises you can prevent leg cramps by extending the heel and never pointing the toes

The nurse is teaching pregnant women about breastfeeding. One woman tells the nurse, "I may breastfeed only for 6 weeks while I am on maternity leave. I don't see any other way except to give a bottle after that." What is the best response by the nurse? "If you are going to supplement, there is no reason to start breastfeeding at all. Your baby will get used to the formula and not take the breast." "Women should try and breastfeed exclusively for the first 6 months. We can talk about ways to fit it into your schedule." "I understand how you feel. At least you are going to do it for 6 weeks." "If you have to work, it will be impossible to try and breastfeed. Do you have to go back to work so soon?"

women should try and breastfeed exclusively for the first 6 months. We can talk about ways to fit it into your schedule